Inspection · 2024-08-28
Licensing Inspector
Michelle Argenbright
(540) 848-4123
SHSIA monitoring inspection of an approved subsidy vendor to determine compliance with current subsidy requirements regarding the health and safety of children and to promote quality standards for the children in their care.
No
Areas Reviewed
8VAC20-780 Administration.
8VAC20-780 Staff Qualifications and Training.
8VAC20-780 Physical Plant.
8VAC20-780 Staffing and Supervision.
8VAC20-780 Programs.
8VAC20-780 Special Care Provisions and Emergencies
8VAC20-780 Special Services.
8VAC20-820 THE LICENSE.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-820 HEARINGS PROCEDURES.
8VAC20-770 Background Checks
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect
Inspector Notes
An unannounced, on-site monitoring inspection was initiated on 08/28/2024 and completed on 08/28/2024. The on-site inspection began at 10:40 AM. The inspector reviewed compliance in the areas listed above. There were 35 children present and six staff. The inspector reviewed five children?s records, five staff records, and one medication on-site. This inspection included documentation review, tour of the facility interviews, and observations.
Information gathered during the inspection determined non-compliance with applicable standards or law, and violations are documented on the violation notice issued to the program.
Standard 8VAC20-780-160-A
Based on record review, the center failed to ensure each staff member submitted documentation of a negative tuberculosis (TB) screening that was completed within the last 30 days of the date of employment.
Evidence:
Staff 4's tuberculosis screening was completed over a year prior to hire.
Plan of Correction: Staff 4 will be required to obtain a TB screening as soon as an appointment can be scheduled. In the future all new staff will be required to provide a TB screening that is completed within 30 days prior to employment.
Standard 8VAC20-780-160-C
Based on record review, the center failed to ensure each staff member submit a follow-up tuberculosis (TB) screening at least every two years from the date of the previous test or screening.
Evidence:
Staff 1's TB screening expired 06/24/23.
Plan of Correction: Staff 1 will be required to obtain TB screening as soon as an appointment can be scheduled.
Standard 8VAC20-780-60-A-8
Based on record review and interview, the center failed to obtain a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction.
Evidence:
Three children's food allergies were posted and listed in their records. The administrator stated the center does not have a written care plan from a physician regarding the food the children are allergic to for the three children.
Plan of Correction: All parents of children with food allergies will be advised to provide the required written care plan or their children will not be allowed to return to the center until the documentation is received. In the future all newly enrolled children with food allergies will not be allowed to attend until documentation is received.